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Published on: January 15, 2017
[Trauma team activation-Who should be alerted for which patients?]
D Bieler1,2, U Schweigkofler3, C Waydhas4
1Klinik für Unfallchirurgie und Orthopädie, Wiederherstellungs- und Handchirurgie, Verbrennungsmedizin, Bundeswehrzentralkrankenhaus Koblenz, Rübenacher Straße 170, 56072, Koblenz, Deutschland. dan.bieler@uni-duesseldorf.de.
Germany sees nearly 10 million annual injuries, with over 32,000 severe cases. Revised emergency room (ER) alarm criteria, based on updated S3 guidelines, aim to improve the triage of severely injured patients, especially in geriatric cases.
Area of Science:
- Trauma Care
- Emergency Medicine
- Clinical Guidelines
Context:
- Millions injured annually in Germany, many severely.
- Current S3 guidelines for multiple trauma treatment are being updated.
- Prehospital and hospital emergency room (ER) decision-making for severe injuries requires clear criteria.
Purpose:
- To provide an overview of team composition and criteria for ER activation.
- To update the S3 guidelines on the treatment of multiple trauma/severely injured patients.
- To refine criteria for alerting emergency room teams.
Summary:
- Revised ER alarm criteria are based on updated literature and S3 guidelines.
- Criteria consider injury patterns, necessary prehospital interventions, and accident mechanisms.
- Adapted B-criteria and recommendations for geriatric patients are included.
Impact:
- Optimized triage and treatment of severely injured patients.
- Improved collaboration between prehospital and hospital emergency care teams.
- Potential for future enhancements using prehospital algorithms and point-of-care diagnostics.
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Assessment:
1. Clinical Evaluation:
History:

